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Clinical Trials/NCT05787548
NCT05787548CompletedNot Applicable

Reducing Emergency Department Utilization With an After Visit Summary Nudge Toward Alternative Care Options

Geisinger Clinic2 sites in 1 country239,841 target enrollmentStarted: April 3, 2023Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
239,841
Locations
2
Primary Endpoint
Inappropriate ED visits

Study Overview

Brief Summary

Decreasing utilization of the Emergency Department (ED) is a priority for the system. Often, ED visits can be avoided if patients contact Geisinger first to get appropriate direction for their concern or are otherwise better informed about reasons to visit the ED vs. urgent care or primary care facilities. The study team is working to reduce ED utilization by including additional information in adult outpatient After Visit Summaries (AVSs). The study will involve will involve A/B testing different AVS versions, including 1) a version that encourages patients to contact Geisinger via different contact methods, 2) a version that includes a map to the patient's closest ConvenientCare location and accompanying information about ConvenientCare, and 3) a version that includes a self-triage guide. A control group will receive the current standard AVS. Analysis results will be assessed to determine which version is most effective at reducing ED use.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Prevention
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Has a Geisinger Primary Care Physician assigned
  • Completes an outpatient office visit or telemedicine appointment at Geisinger

Exclusion Criteria

  • The AVS was not printed according to the EHR, and the patient does not have an active MyGeisinger patient portal account, so they do not have a way to view the AVS

Outcomes

Primary Outcomes

Inappropriate ED visits

Time Frame: In the 30 days following the appointment

Visited the ED inappropriately (y/n) We will apply the NYU algorithm (Ballard et al., 2010) to determine whether an ED visit is inappropriate.

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Amir Goren

Program Director, Behavioral Insights Team

Geisinger Clinic

Study Sites (2)

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